ORANGE CITY NURSING AND REHAB CENTER (Debary, FL) has a 4-star overall rating, with strong quality measures (5 stars) and staffing (4 stars), but a middling health inspection rating (3 stars). Reported nurse staffing is 3.57 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: March 27, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5709.
Staffing detail
Registered nurses
0.88
Licensed practical nurses
0.58
Nurse aides
2.11
Weekend nursing
3.23
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 32%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
5.1%3.1%Improving
Residents with a fall causing major injury
9%5.1%Improving
Residents with pressure ulcers (bedsores)
2.2%3%Worsening
Residents with a urinary tract infection
1.3%0%Improving
Residents who lost too much weight
2.4%2.6%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.4%2.4%Improving
Residents whose ability to walk got worse
10.6%4.6%Improving
Long-stay residents on antianxiety or sleep medication
4.4%4.8%No change
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
12%3.7%Improving
Residents with depressive symptoms
9.5%6.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
99.6%99.5%No change
What the inspectors found
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: J
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $16,801 in total fines.
Federal fine
Mar 19, 2024
$8,401
Federal fine
Mar 19, 2024
$8,400
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of SOVEREIGN HEALTHCARE HOLDINGS · 43 homes · 3.8 stars avg
Occupancy
109.7 residents on an average day (91% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.